From request to reviewable recommendation.
A clear, repeatable process narrative — every case follows the same six steps, so reviewers can trust the path a recommendation took to get there.
Demonstrations use synthetic or de-identified sample data only.
Read the request
Extract the drug, diagnosis, indication, review type, and dose or quantity when applicable.
Find the exact policy pathway
Match drug, indication, and initial or continuation pathway to the correct section of the policy.
Compile the complete criteria tree
Preserve numbered criteria, nested branches, AND/OR logic, exceptions, and authorization duration.
Screen the clinical record
Map clinical evidence to every policy criterion, not just the ones that are easiest to find.
Produce a transparent recommendation
Display each criterion, its evidence, its status, the decision logic, and a concise rationale.
Pharmacist review
The pharmacist confirms or changes the final determination. Nothing is finalized without them.